Most Relevant Information
Provider Data
| NPI Number: | 1003527490 |
| Provider Name: | MACKENZEE HOVIS |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/07/2022 |
| Last Updated: | 12/09/2022 |
Provider Practice Location
334 VIA VERA CRUZ
SAN MARCOS
CA
920782635
Practice Location Phone/Fax
| Phone: | 7605878158 |
| Fax: |
Provider Mailing Location
1810 SHADETREE DR
SAN MARCOS
CA
920780902
Provider Mailing Phone/Fax
| Phone: | 7605878158 |
| Fax: |